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27 articles: 4 new or updated, 14 continuing, 9 closed.
All articles are listed below, including continuing and closed findings. The approved report also includes horizons, trends and implementation material.
27 articles shown, grouped by category.
Active high- and medium-priority findings, organized by topic.
RegalCare entities and two executives agreed to $1 million plus interest, with specific admitted billing facts; the signed agreement qualifies how clinical consultation and MDS certification occurred.
High priority · Sep 27, 2026 editionRead story →
Heuser Health agreed to pay $2,646,186.72 over allegations that skin-substitute claims overstated actual invoice costs.
Medium priority · Sep 27, 2026 editionRead story →
DOJ's pending laboratory complaint alleges $13.7 million in Medicare payments tied to mass-event genetic tests and added respiratory panels without valid individualized ordering.
Medium priority · Sep 27, 2026 editionRead story →
Crown Medical Solutions and its owners agreed to $825,000 based on ability to pay, resolving disputed Medicare DME claims without a liability determination.
Medium priority · Sep 27, 2026 editionRead story →
Rebecca Fadanelli received a 46-month sentence for counterfeit injections, with separate restitution and forfeiture orders of $1,001,562 each.
Medium priority · Sep 27, 2026 editionRead story →
Remedi SeniorCare agreed to pay more than $5.3 million over allegations of Medicare and Medicaid claims for drugs lacking valid prescriptions; payment is based on ability to pay and made over time.
Medium priority · Sep 27, 2026 editionRead story →
California announced a guilty plea and two-year prison sentence in a $413,643.30 IHSS and respite-care fraud case involving false claims about a disabled family member's care.
Medium priority · Sep 27, 2026 editionRead story →
Fourteen CDPH citations issued September 21–25 identify $115,500 in initial assessments across thirteen facilities, with care, reporting and record-integrity categories; later status or balance is not established at this cutoff.
Medium priority · Sep 27, 2026 editionRead story →
OIG identified hospital billing errors in Methodist and McLeod samples, recommending an estimated $12.4 million refund for Methodist and $38,676 for McLeod, with different hospital responses.
High priority · Sep 27, 2026 editionRead story →
NYU and UPMC agreed to specified pediatric service restrictions and payments totaling $9.45 million to resolve investigations; both denied allegations and no liability determination was made.
High priority · Sep 27, 2026 editionRead story →
Abbott's settlement provides approximately $385 million plus interest to resolve disputed WIC and Medicaid product-quality claims, with express denials and reserved claims.
High priority · Sep 27, 2026 editionRead story →
The $50 million resolution addresses alleged unlawful dispensing despite prescriber and prescription warning signs. A DEA agreement adds employee/patient reporting, pharmacy-pattern monitoring and suspect-prescriber review. The dated August 28 announcement reports allegations, not a determination of liability.
Medium priority · Sep 27, 2026 editionRead story →
Two Florida DME operators received prison sentences after guilty pleas in a $34.8 million brace-fraud scheme that used paid false orders and shifted billing among related suppliers.
Medium priority · Sep 27, 2026 editionRead story →
Lower-priority and watch items, plus closed matters kept for the edition record.
High priority · Sep 27, 2026 editionRead story →
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Medium priority · Sep 27, 2026 editionRead story →
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